Cognitive and emotional-volitional deficits as targets for psychosocial rehabilitation of patients after the first psychotic episode

Abstract

Background: increased attention to young patients who have experienced the first episode of psychosis is associated with the proven efficacy of psychopharmacology and psychorehabilitation and contributes to long-term remission. Aim. This paper aims to provide a review of studies on the clinical and psychological characteristics of patients who first encountered psychotic disorders, identify differences in their formation, and summarize the modern structure of comprehensive medical and psychological care at different stages of the disease. Results. Early detection and treatment of the first psychotic episode through an integrated medical and psychological approach contributes to minimizing the negative impact of the disease, its more favorable course, and social recovery of patients. The choice of psychotherapeutic and rehabilitation treatments should be based on the deficit symptoms and disadaptation levels of a particular patient. Conclusion. The prospects of this study are associated with classifying first-psychotic-episode patients into a separate group, identifying their deficit symptoms by means of psychological assessment, and developing relevant programs for psychological intervention and social rehabilitation.